ML19249C704
| ML19249C704 | |
| Person / Time | |
|---|---|
| Site: | Crane  |
| Issue date: | 03/16/1978 |
| From: | Seelinger J METROPOLITAN EDISON CO. |
| To: | |
| References | |
| PROB-780316, TM-0864, TM-864, NUDOCS 7909170682 | |
| Download: ML19249C704 (2) | |
Text
,
T:E DOC 1'ME:rr3 j
)
),
T M
r e.,4 '.
DCCUME:iT liO:
COPY MADE ON CF DCCU:E:iT ?ROVIDD 37 METROPCLIT).N EDISCN COMPA:if.
Super'stsc, Doc'.=e=C Cc=Crol, NRC O*
e 7@340
RADIOLOGlCAL REF.'
14 This Radio losicai Reference danycl to #
S
- mvesega m4 na m :du ~
soucce for thcs Radiological Marence :
s, s a 2nsi s,se a as y, w/w
/
/.
V
! ',/
,' h [.d nubk vum' s
a F
O 3,
cb P
M rn
.m M
7ana41
5 2 -'
.h "V
WORK REQUEST APPROVAL
/p TMI Nuclear Station 2
Work 3equest No. O 'E /
Unit No.
W.0fAccount No. El/V /?9f PrJ4, NPRD Form Reg'd Priority
?
I
]~
ltems 1 throuch 5 comcleted by cricinator 1.
System; aed-M WM bsM~
'd-
/# -
80/
2.
Ccmoonent (name & number) 3.
Describe malfunction and cause of malfdnction (if known) or modification desired.
p,7, kg W C.as u ts k A /. e rr.s b - M b l
E""
k agrt y,,,s n 4 c / e i s - O,.t w 4 ).
kcWS-
.4 c-c b' )
,s bf Pf Y
WLA -
A 4.
Ori;inator:
.WA Date/ Time
/
,0, 5.
Oricinator's S rviscr's Sicnatureb 4-pm/4-
//
/"
'hWJ 6.
Does work represent a change or r(odification to an existing system or component?
If yes, an approved change modification is required per AP 102T.
C/M No.
Yes No 7a.
Oces work require an RWP Yes No No /
7b is an approved procedure required to minimize personnel exposure.
Yes Sa.
Is v.a k on a 'lC component as defined in GP 1008.
Yes No Eb. If Sa is yes does work have an effect on Nuclear Safety? If Eb is yes, PO RC reviev.ed Superintendent epproved must be used.
Yes No 9.
Agreement that a PORC reviewed, Superintendent approved pr ocedure is not required f cr this work because it has no ef fect on nut! ear safety. (Applies cnly if Sa isYe and 8b is No).
Unit Superintendent Date I rla.
Is the system on the EnvironmentalImpactlistin AP 1026 Yes
( No 105. If ICa is Yes, is an approved prceedure required to limit environmental impact Yes No 10c.
R uir d onr/ if 1Da is Yes).
& Agreement that 10b 2 Ng(d lLfMUM
? //.l 7$
r f/ /
a sweenntenavnus;cu/osor of oowatons
/ Oc ty' v
11.
P! ant status or ;. e e;uisite conditions required f or wort
,,s$u DiLw
. l -2.-G,[,.s t
mS Nt}42
/
j
Camely w!!h the Provisions set 'ohb in AP 1;;2 and f
12.
Limits and Precautions:
a) Personnel b) Equipment P.pl l T, gr r.a a.
SUPT. APPPOVAl d) Nuclear
- 13. Post Maintenance Testing required and Acceptance Criteria.8%-es Cnyl54<-<_f^ M. 9 14.
Estimated manhours to perf orm iob: E IC M
U
- 15. Maintenance Foreman As::igned:
Date A/M f ~~ b7
- 17. Supervisor of Maintenance approval to commence work: ?
7/
Date
- 18. Shilt Foreman's approval to commence work Date STE APPROVAL initialif Shif t Foreman lagging Applicawn No.
Radiamn Wem Permit No.
signature is not required
- 19. Comments on work perf armed:
[
Uk&ll[
Retest met acceptance criteris Yes l
No l
Werk Performed bv date/ time Work Reviewed '.iaintenance Foreman's Signature Date
- 20. Work completed and ccmpenent aligned f or testing.
Initial if S.F. signature is not required.
Shif t Foreman's Signature Date
- 21. Testing completed and component released f or norma f use.
/4 sb& y.,,.,Au STE AkeROVcAbisnmeceired.
Shif t Foreman.s Se;natu*e Date
- 22. Quality Control Department review of work and testing completed (QC v.o;k only).
Survernance Reocrt No.
Q C Ceoat tre.e n t Date
- 23. Supentisar of Maintenance '.'/ork request and precedure are complete and signed of f as required. Change /modit; cation f orm has been signed off as required. Machinery history entry has been made,if required.
a-..
........a..,.
,a n., f orm.on Superv.sor of W.nteriance Sigemuse Date
'#